Individual
MRS. BETTY E WILLHELM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
532 S PROSPECT ST, MARION, OH 43302-4945
(740) 751-5959
Mailing address
532 S PROSPECT ST, MARION, OH 43302-4945
(740) 751-5959
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
373098140793
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3154741
—
OH
Enumeration date
03/31/2012
Last updated
03/31/2012
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